2 year old FI Maine Coon with repeatable mild azotemia beginning last year. Thin without GI symptoms. Indoor only. I posted the kidney images earlier in the week, but the case has gone missing. Eric commented need to rule out shunt and that looked more like dystrophy from the uroliths than dysplasia. Trying to get owner to come back in to repeat some of the liver videos with SDEP protocol and submit for full telepath review, but adding my liver videos to Forum for now if you don’t mind looking.
2 year old FI Maine Coon with repeatable mild azotemia beginning last year. Thin without GI symptoms. Indoor only. I posted the kidney images earlier in the week, but the case has gone missing. Eric commented need to rule out shunt and that looked more like dystrophy from the uroliths than dysplasia. Trying to get owner to come back in to repeat some of the liver videos with SDEP protocol and submit for full telepath review, but adding my liver videos to Forum for now if you don’t mind looking. I did not appreciate abnormalities, but I’ll admit this wasn’t on my radar
Comments
The liver looks normal in
The liver looks normal in size, contour, and echotexture in the clips. So, just based on subjective appearance of the liver, I would suspect that a shunt is not present. There is mild debris in the GB. Are the liver enzymes elevated?
Pre and post bile acids may be considered, and if elevated or suggestive of a shunt like with post prandial >100, sedated recheck with SDEP views to look for a shunt would be suggested.
Thanks much. There were no
Thanks much. There were no values on the blood panel to suggest liver problems. I had talked with owner about the approach you suggest and I am hoping she is on board.